Job Description
Our client, a Health Insurance company, is looking for a Grievance &Appeals Coordinator-Writing for their Remote location.
Responsibilities:
Requirements:
Why Should You Apply?
Responsibilities:
- The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies.
- The coordinator is expected to analyze the customer’s concerns, conduct necessary research by leveraging various internal and external resources and contacts in order to make appropriate and accurate case decisions.
- Appeal Coordinators are expected to coordinate, facilitate, and conduct managerial level conferences with customers and their authorized representatives to gather and relay information.
- The coordinator is expected to keep an accurate documentation record that details steps and action taken to resolve the customer’s concerns. The outcome and resolution of all appeals, grievances, complaints, and inquiries is communicated via written correspondence to the customer using clear and simple language and include elements that satisfy corporate, regulatory, and accreditation timeframes, accuracy and response guidelines.
- The Coordinator is responsible for staying abreast of products, networks, internal policies, procedures and regulations for the accurate resolution of appeals, complaints, grievances, and inquiries.
Requirements:
- Analytical mindset- having the ability to examine a matter, the facts, contextual information and make an informed decision or implement a reasonable, rationale solution.
- Excellent written and verbal communication skills. Must be proficient in proofreading, spelling, grammar, punctuation, and math.
- Ability to analyze, interpret, apply reason and logic, conduct research; structure a clear and thorough response.
- Ability to apply policies and procedures to arrive at accurate conclusions
- Ability to work in a fast-paced environment with tight deadlines and high quality standards
- Problem solving aptitude
- Accuracy and strong attention to detail
- Ability to prioritize responsibilities and effectively manage time
- Ability to work effectively with management and part of a team to meet targets
- High regard for protecting confidentiality of member, employee, corporate and performance information.
- Previous customer service or concierge experience (not specifically in a CSR type role)
- Strong PC application and system skills- having the ability to navigate multiple computer systems and databases
- Background in writing and/or research
- English/writing field of study, Health Care Administration or related field, history, Juris Doctorate, etc.
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Numbers & Facts
| Location | Remote, MI (Remote) |
| Industry | Management Consulting Services |
| Salary | $29.60–$32.35 Per Hour |
| Company Size | 2,000 to 2,499 employees |
| Year Founded | 2000 |
| Website | https://www.iconma.com/ |
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Skills
- Analysis Skillsunmatched
- Communication Skillsunmatched
- Conferencesunmatched
- Customer Support/Serviceunmatched
- Detail Orientedunmatched
- Documentationunmatched
- English Languageunmatched
- Establish Prioritiesunmatched
- Health Insuranceunmatched
- Health Planunmatched
- Healthcare Administrationunmatched
- Mathematicsunmatched
- Organizational Skillsunmatched
- Presentation/Verbal Skillsunmatched
- Problem Solving Skillsunmatched
- Proofreadingunmatched
- Quality Metricsunmatched
- Regulationsunmatched
- Research Skillsunmatched
- Time Managementunmatched
- Writing Skillsunmatched
Benefits
401K, Employee Referral Program, Life Insurance
About Company
ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.
- Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
- Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
- Founded in 2000
- 2000+ Employees
The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.
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